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Epilepsy Res. 2014 Mar;108(3):526-34. doi: 10.1016/j.eplepsyres.2013.12.009. Epub 2013 Dec 30.

Neurodevelopmental and epilepsy outcome in children aged one to five years with infantile spasms--a North Indian cohort.

Author information

  • 1Division of Child Neurology, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. Electronic address: sehgal_rachna@hotmail.com.
  • 2Division of Child Neurology, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. Electronic address: sheffaligulati@gmail.com.
  • 3Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. Electronic address: saprasavita@yahoo.com.
  • 4Department of Neurology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. Electronic address: manjari.tripathi@gmail.com.
  • 5Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. Electronic address: madhulikakabra@hotmail.com.
  • 6Department of Biostatistics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. Electronic address: rmpandey@yahoo.com.

Abstract

PURPOSE:

The present study was planned as there is paucity of outcome data of children with infantile spasms, from India where profile of patients is different from the western world. Moreover, most previous studies have either not used strict inclusion criteria or standardized psychometric tests for developmental outcome.

METHODS:

Ninety-five children, aged one-to-five years under follow up for more than six months in Pediatric Neurology Clinic of a tertiary care hospital with the diagnosis of infantile spasm were enrolled in this cross-sectional study if they had completed one or more years after the onset of spasms. The study period was January-December 2011. Neurodevelopment of each child was assessed using Development Profile 3 and Gross Motor Function Classification System. History regarding epilepsy frequency and control in the last one year was taken.

RESULTS:

Perinatal asphyxia was the commonest etiology in 43/95 children (45.2%). Favorable neurodevelopmental outcome was observed in 8/95 patients. Favorable epilepsy outcome in 58/95 (61.1%) patients was associated with treatment lag≤3 months between apparent onset of spasms and institution of therapy {OR 2 (1.1-3.8)} and response to first line antiepileptic drug {5 (2.6-10)}.

CONCLUSIONS:

The commonest etiology was potentially preventable perinatal cause. Early appropriate treatment may have a favorable epilepsy outcome.

Copyright © 2014 Elsevier B.V. All rights reserved.

KEYWORDS:

Epilepsy; Infantile spasms; Neurodevelopment; Outcomes

PMID:
24439210
[PubMed - indexed for MEDLINE]
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